Organization
MEDICLAIM OF FLORIDA INC
Active
Other names
MEDICLAIM OF FLORIDA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R CARABALLO (PRESIDENT)
(305) 385-4960
Entity
Organization
Contact information
Practice address
16542 SW 67TH TER, MIAMI, FL 33193-5601
(305) 385-4960
(305) 385-6068
Mailing address
16542 SW 67TH TER, MIAMI, FL 33193-5601
(305) 385-4960
(305) 385-6068
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
991518400
—
FL
Enumeration date
11/03/2011
Last updated
11/03/2011
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